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General NPI Number Information
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NPI Number | 1154482172
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Entity Type | Organization
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Legal Business Name | FAIRFIELD TOWNSHIP
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Dates
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Enumeration Date | 12/13/2006
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Last Update Date | 05/24/2022
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Provider Practice Location Address
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Address Line | 6288 FIREHOUSE STREET
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City | SOMERDALE
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State | OH
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Zip | 44678
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Country | US
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Telephone | 330-859-2311
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Fax |
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Provider Business Mailing Address
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Address Line | 5311 JOHNSTOWN RD NE
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City | MINERAL CITY
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State | OH
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Zip | 44656-9046
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Country | US
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Telephone | 330-343-9711
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Fax |
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Authorized Official
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Title or Position | FISCAL OFFICER
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Name | JENNIFER L BROWN
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Credential |
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Telephone | 330-343-9711
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 341600000X
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Taxonomy Name | Ambulance
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License Number | 020893850
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License Number State | OH
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